The National Strategic Action Plan for Rare Diseases (the Action Plan) was launched in 2020 by the Federal Minister for Health with bipartisan support. The Action Plan is the first nationally coordinated effort to address rare diseases in Australia. Developed by the rare disease sector, for the rare disease sector, the Action Plan provides a comprehensive policy framework.

As the national peak body for Australians living with a rare disease, Rare Voices Australia (RVA) led the collaborative development of the Action Plan in 2018 and 2019 through an extensive nation-wide multistakeholder consultation process.

Action Plan Implementation

RVA is working in partnership with stakeholders to support the collaborative implementation of the Action Plan, recognising that implementation is the shared responsibility across the entire rare disease sector. Alongside stakeholders, RVA continues to advocate for action to address gaps and inequities in rare disease awareness and education, care and support, and research and data. RVA is also leading collective efforts to encourage investment in nationally networked Rare Disease Centres of Expertise. In recognition of the broad impacts of rare diseases and the importance of a coordinated national approach, RVA is calling for the establishment of an Office for Rare Diseases within the Commonwealth Government.

Action Plan Vision

The best possible health and wellbeing outcomes for Australians living with a rare disease.

Priority Populations Identified in the Action Plan

  • Australians living with a rare disease
  • Australians living with an undiagnosed rare disease
  • Australians with an increased chance of developing a rare disease or of having a
    child with a rare disease
  • Aboriginal and Torres Strait Islander people
  • People living in regional, rural and remote areas
  • People from culturally and linguistically diverse (CALD) backgrounds
  • People experiencing socio-economic disadvantage

Subsequent implementation progress within the Care and Support Pillar informed the identification of Australians living with a rare disease disability as an additional priority population.

Action Plan Pillar 1:
Awareness and Education

Why is this important?
Increased awareness and education at the individual and community level is vital. It is common for people to have never heard of the rare disease with which they, or their child, are diagnosed. It can be difficult to find a practitioner who is educated about the disease. Yet, people living with a rare disease, and their families and carers, are reliant on services for both care and support.

Progressing Implementation of the Awareness and Education Pillar
In partnership with a range of stakeholders, RVA is leading work on progressing implementation of the Awareness and Education Pillar. Key projects and examples include the ongoing development of the Rare Awareness Rare Education (RARE) Portal, RVA’s online education, which complements our mentorship and education activities, and engaging in the global annual Rare Disease Day campaign.

Action Plan Pillar 2:
Care and Support

Why is this important?
Early diagnosis enables the best clinical care, treatment options, access to services, peer support, increased reproductive confidence and access to participation in clinical trials. Yet diagnostic delay and misdiagnosis are common in rare disease.

Progressing Implementation of the Care and Support Pillar
In partnership with a range of stakeholders, RVA is leading work on progressing implementation of the Care and Support Pillar. Key projects and examples include the Rare Disease Disability Project, broader rare disease disability advocacy, and ongoing health technology assessment advocacy and reform.

Action Plan Pillar 3:
Research and Data

Why is this important?
In Australia, data for most rare diseases is not captured in either health information systems or registries and there is no coordinated strategy to collect, measure, build and translate data that does exist. For key decision-makers at all levels, greater knowledge of rare diseases can facilitate more responsive and appropriate services for people living with a rare disease and their families and carers.

Progressing Implementation of the Research and Data Pillar
In partnership with a range of stakeholders, RVA is leading work on progressing implementation of the Research and Data Pillar. Key projects and examples include measuring implementation of the Action Plan, the RARE Portal, RVA’s Research and Project Partnerships, progressing work on guidelines for Australian Rare Disease Centres of Expertise, Australia’s Top 10 Rare Disease Research Priorities.

Progressing Implementation of the Research and Data Pillar

In partnership with a range of stakeholders, RVA is leading work on progressing implementation of the Research and Data Pillar. Key projects and examples include measuring implementation of the Action Plan, the RARE Portal, RVA’s Research and Project Partnerships, progressing work on guidelines for Australian Rare Disease Centres of Expertise, Australia’s Top 10 Rare Disease Research Priorities, and facilitating the Australian Rare Disease Research Network.

Action Plan Companion Documents

Engaging with the rare disease community

A stocktake of rare disease activities in Australia

The evidence base for the National Strategic Action Plan for Rare Diseases

Monitoring the Collaborative Implementation of the Action Plan

Monitoring the collaborative implementation of the Action Plan is vital to understanding how the Action Plan is driving meaningful change across the rare disease sector. Stewardship of the Action Plan is a key focus area of RVA’s Strategic Plan for 2025-2027.

Between September and October 2022 and during February 2023, RVA conducted an activity scan—the first measure, at the time, of Action Plan progress since its launch in 2020—inviting the rare disease sector to share projects, initiatives and achievements.

Go to the 2023 Status Report.

Understanding Impact Across the Rare Disease Sector Using the Most Significant Change Methodology

Measuring the systemic and human impact of the Action Plan requires more than counting and categorising activities. To address this challenge, in 2024, RVA staff engaged in training for the Most Significant Change (MSC) methodology.

The MSC methodology is a validated and flexible, person-centred evaluation framework that uses guided storytelling and independent review to identify the most meaningful changes from the perspectives of diverse stakeholders. RVA has adopted this framework as a core tool for monitoring progress across the rare disease sector.

RVA collects stories on an ongoing basis from all rare disease stakeholders, including people living with a rare disease, carers, advocates, health professionals, researchers, government and industry.

Emerging Themes:
What We Heard from Stakeholders in 2024-25

The MSC process conducted in 2024-25 involved the collection and summarising of stories from a wide range of stakeholders. The most significant of these stories were then identified through a story selection panel.

Several themes emerged across all stories: how collaboration has deepened with people and organisations working together in new ways; how policy conversations now include rare diseases more often; and how lived experience is increasingly recognised as essential in shaping decisions. Many described growing networks of support, better access to reliable rare disease information, diagnosis, treatment and care, and a stronger sense of community belonging.

Stories were then allocated into five ‘domains of change’ for the story selection panels:

  1. Knowledge and Capacity Building
  2. Equity and Access
  3. System and Policy Influence
  4. Collaboration and Innovation
  5. Empowerment and Participation

Stories were also anonymised and conflicts of interest accounted for.

While the stories were diverse, they pointed to a common thread–change is happening because stakeholders are working together.

For summaries of all MSC stories collected, please see RVA’s Annual Report 2025.